Stephanie Nicole Saridakis, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

34.016592 Issued in OH

Practice address

8751 Brecksville Rd Ste 50
Brecksville, OH 44141-1950

Phone

(440) 792-4802

Fax

(440) 792-4768

NPI assigned

Apr 1, 2019

Last updated

Nov 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Ohio University, College of Osteopathic Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brecksville Dermatology IncGroup PAC ID 2860647740, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brecksville Dermatology, Inc.

  • Dermatology Physician
  • Brecksville, OH
  • NPI 1770820722
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1801358700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 BRECKSVILLE RD STE 50",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411950",
            "telephone_number": "440-792-4802",
            "fax_number": "440-792-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 BRECKSVILLE RD STE 50",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411950",
            "telephone_number": "440-792-4802",
            "fax_number": "440-792-4768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3595 Olentangy River Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143440",
            "country_code": "US",
            "telephone_number": "440-792-4802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Park West Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443204219",
            "country_code": "US",
            "telephone_number": "330-835-9158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARIDAKIS",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34.016592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELICENSURE",
            "identifier": "34.016592",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conner Grayson Rybka
• Kristi L. Sack, LISW
• Megan Salvatore, DPT
• Patricia Sankovic
• Peter Sankovic
• Alexander Sasyn, ATC
• Michael John Saternus, D.D.S.
• Rebekah Anne Sawyer, MS RD LD
• Joyce M Schroder, RN
• Linda J Schubert Medler, RN

• Dermatology Physician in Brecksville, OH
• Providers in Brecksville, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.